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Individual

DR. BRANDI LEIGH SHAFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
1649 W HENDERSON ST STE A, CLEBURNE, TX 76033-4108
(817) 641-4042
(817) 645-4357
Mailing address
1649 W HENDERSON ST STE A, CLEBURNE, TX 76033-4108
(817) 641-4042
(817) 645-4357

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8380DC
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5669690
FIRST HEALTH PROV. ID
TX
01
7287563
AETNA PROVIDER ID
TX
01
8A7232
BCBS OF TX PROVIDER ID
TX
Enumeration date
08/03/2006
Last updated
09/28/2007
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